| Janessa Radford, Licensed Clinical Social Worker, Inc. | |
|
23 Glen Lake Dr Pacific Grove CA 93950-5372 | |
| (925) 683-8911 | |
| Not Available |
| Full Name | Janessa Radford, Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 23 Glen Lake Dr, Pacific Grove, California |
| Authorized Official Name and Position | Janessa Radford (OWNER) |
| Authorized Official Contact | 9256838911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janessa Radford, Licensed Clinical Social Worker, Inc. 225 The Crossroads Blvd Ste 262 Carmel CA 93923-8674 Ph: () - | Janessa Radford, Licensed Clinical Social Worker, Inc. 23 Glen Lake Dr Pacific Grove CA 93950-5372 Ph: (925) 683-8911 |
| NPI Number | 1588456974 |
|---|---|
| Provider Enumeration Date | 05/21/2025 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588456974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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